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SUZANNE CHRISTINE BOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3400 SPRUCE STREET, GROUND FLOOR RAVDIN, PHILADELPHIA, PA 19104
(215) 662-3893
Mailing address
3400 SPRUCE STREET, GROUND FLOOR RAVDIN, PHILADELPHIA, PA 19104
(215) 662-3893

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OR
363AM0700X
Medical Physician Assistant
Primary
MA051476
PA
363AS0400X
Surgical Physician Assistant
10005060
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1032002
WA
Enumeration date
07/23/2006
Last updated
07/21/2022
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